Homeowner Information Form

Homeowner Information Form

Ventura 21 Homeowner Association
Full Name of PRIMARY Owner:*
Other Owner(s) (if applicable):
Address of Ventura 21 Property*
Roselle, Illinois 60172
Mailing Address (if DIFFERENT from Ventura 21 property address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address:*
example@example.com
Secondary Email Address:
example@example.com
Preferred Contact Phone Number*
Please enter a valid phone number.
Secondary Contact Phone Number
Please enter a valid phone number.
Please enter the name(s) of ALL household members (include minors):*
Please list all pets in the home. Include name, breed, color/markings, and a microchip information if available.
Please list all vehicles. Include make, model, year, color, and plate number for each.
Please select the option that applies:*

OWNER OCCUPIEDRENTAL/INVESTMENT PROPERTY (if a rental property, please provide tenant information below. You will also need to provide a copy of the current lease to Management.)
Enter All Occupant(s) Name(s) (include minors):
Tenant Contact Email
example@example.com
Tenant Phone Number
Please enter a valid phone number.
Management Company Name (if applicable):
Management Company Contact Person:

First NameLast Name
Management Company Phone Number
Please enter a valid phone number.
Management Company Email Address:
example@example.com
Management Company Mailing Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
We will also need for you to email a copy of your current insurance policy to ACM@Ventura21.com.

For any other questions please contact the Management Office at 630-894-5665 or email our office.

Thank you.
Should be Empty: